Cloverport Health Clinic
LBN: Breckinridge Health, Inc.
Cloverport Health Clinic is an health care organization with primary practice located at 209 Elm St , Cloverport KY 40111-1324. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Breckinridge Health, Inc. can be contacted via phone (270) 788-3000, or through Butler, Mandy J via phone (270) 788-3000.
Contact Information
Primary practice address
209 Elm St
Cloverport KY 40111-1324
Phone: (270) 788-3000
Fax: (270) 788-6201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 900053 | Kentucky |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 900053 | Kentucky |
Profile Details
| NPI number | 1245236900 |
|---|---|
| LBN Legal business name | Breckinridge Health, Inc. |
| DBA Doing business as | Cloverport Health Clinic |
| Authorized official | Butler, Mandy J ARNP |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Mar 29th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245236900 | NPPES |
| Kentucky | MEDICAID | 35000587 | |
| Kentucky | Other | 1049478 |
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